• RN Clinical Review Appeals…

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... clinical documentation improvement issues and through excellent communication with physicians, coding and CDMP leadership, Quality Dept. coordinators, and other… more
    St. Luke's University Health Network (10/28/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Philadelphia, PA)
    …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality , DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management, Finance, Revenue Cycle, and Coders +… more
    Deloitte (11/21/25)
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  • Inpatient Audit Specialist FT 2,500 Sign…

    Datavant (Harrisburg, PA)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...+ Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes… more
    Datavant (11/14/25)
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  • ProFee Audit Specialist PRN- 1,000 Sign…

    Datavant (Harrisburg, PA)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee… more
    Datavant (11/12/25)
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  • Inpatient Audit Specialist FT- 2,500 Sign…

    Datavant (Harrisburg, PA)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... from your own workspace! Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** + Performs Inpatient Facility … more
    Datavant (10/21/25)
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  • CDI Specialist

    UPMC (Pittsburgh, PA)
    …and diplomatic manner required. Licensure, Certifications, and Clearances: + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR ... UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This...of computer technology, quality assurance activities, DRG, Quality Insights/Utilization review background is highly preferred.… more
    UPMC (11/25/25)
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  • CDI Specialist

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialist (CCS). + Licensure as a Physician Assistant (PA) ... more than a job. You'll discover a commitment to quality care in a safe environment and a foundation...to apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the… more
    Redeemer Health Home Care & Hospice (10/31/25)
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  • Patient Access Specialist

    Globus Medical, Inc. (Collegeville, PA)
    …of received documentation through prior authorization, appeals support, detailed claims review , and hotline support. The Patient Access Specialist will ... service to all customer types. **Essential Functions** **:** + The Patient Access Specialist will adhere to quality of HFX Access service through QA, additional… more
    Globus Medical, Inc. (10/02/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Harrisburg, PA)
    …our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
    Datavant (11/11/25)
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  • Oncology Data Specialist , Certified…

    St. Luke's University Health Network (Bethlehem, PA)
    …of a patient's ability to pay for health care. The Oncology Data Specialist identifies reportable cases, analyzes, and abstracts clinical data, codes and enters ... up to provide cancer incidence, treatment and outcome information for quality improvement activities, administrative planning and marketing and research. JOB DUTIES… more
    St. Luke's University Health Network (09/02/25)
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